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Reverse Total Shoulder Arthroplasty
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Functional outcomes assessment in shoulder surgery.

James D Wylie1, James T Beckmann1, Erin Granger1

  • 1James D Wylie, James T Beckmann, Erin Granger, Robert Z Tashjian, Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT 84108, United States.

World Journal of Orthopedics
|November 19, 2014
PubMed
Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) are essential for evaluating shoulder conditions, offering a patient-centered approach beyond traditional physician assessments. These tools, including quality of life and condition-specific measures, improve disability assessment.

Keywords:
Functional outcomeHealth utility measurePatient reported outcomeQuality-of-lifeShoulder

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Area of Science:

  • Orthopaedic Surgery
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • Effective management of orthopaedic conditions, particularly shoulder disorders, necessitates understanding patient-level disability.
  • Traditional physician-derived outcome measures (e.g., range of motion, radiographs) have limitations in capturing patient perception.
  • Patient-reported outcome measures (PROMs) have gained prominence as primary tools for evaluating treatment outcomes over the past 25 years.

Purpose of the Study:

  • To review general health-related quality-of-life (HRQoL) measures for shoulder conditions.
  • To examine joint-specific and condition-specific PROMs used in evaluating shoulder disorders.
  • To discuss the role of computer adaptive testing (CAT) in assessing shoulder dysfunction.

Main Methods:

  • Literature review of validated outcome measures for shoulder conditions.
  • Categorization of PROMs into general HRQoL, health utility, region-specific HRQoL, and condition-specific measures.
  • Exploration of the evolution and application of patient-reported outcome measures in orthopaedics.

Main Results:

  • Various PROMs, including general and condition-specific tools, are validated for shoulder disorders.
  • PROMs capture patient-perceived disability, complementing objective physician evaluations.
  • Computer adaptive testing presents a future advancement for efficient and accurate assessment of shoulder dysfunction.

Conclusions:

  • PROMs are crucial for a comprehensive evaluation of shoulder conditions, reflecting patient experience.
  • The landscape of outcome measurement in shoulder disorders has shifted towards patient-centered approaches.
  • Future research should focus on integrating advanced methods like CAT into clinical practice for shoulder assessment.